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<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Insert title here</title>
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<body>
<form method="post" action="/AcmeWeb/svc/simple/somedata/feedback">
I want to receive travel information for:<br/>
<input type="checkbox" name="interest" value="India"/> India<br/>
<input type="checkbox" name="interest" value="Canada"/> Canada<br/>
<input type="checkbox" name="interest" value="Morocco"/> Morocco<br/>
<input type="checkbox" name="interest" value="Barcelona"/> Barcelona<br/>

Comments: <br/>
<input type="text" name="comments" size="45"/><br/>
<input type="submit" value="Submit"/>
</form>
</body>
</html>